Minimally destructive management of amelogenesis imperfecta and hypodontia with bleaching and bonding

Amelogenesis imperfecta has a prevalence of 1:700 to 1:14,000, according to the populations studied and hypodontia has around 4.6-6.3% prevalence within the permanent dentitions of Caucasian European populations. Traditional treatment methods for these conditions include veneers and conventional bridges, which are invasive and unnecessarily destructive of remaining tooth tissue. The authors describe how, with the non-destructive use of bleaching, bonding and adhesive bridges, it is possible to achieve a reasonable aesthetic result in a practical way.

Amelogenesis imperfecta and missing teeth are common and significant clinical problems. General dental practitioners and specialists should be aware of effective, but minimally destructive, methods of treatment.